License holder summary

DERRI L SHTASEL is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for DERRI L SHTASEL is CHESTNUT HILL MA 02467. This medical practitioner license is not current. The license was granted 04/22/1983 and expired on 12/31/2000.

Department of State

Board of Medicine

DERRI L SHTASEL
Medical Physician And Surgeon
License number
MD028792E
Date granted
04/22/1983
Date expires
12/31/2000
Class
Medical Physician And Surgeon
Status
Inactive
Address
CHESTNUT HILL MA 02467
medicinepa.com
ID 37671020
LAST UPDATED 2026-08-05 15:41:53 UTC

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